Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.59 / $19.50	Facility	26	$12.02	$12.59	$19.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $85.11 / $102.33	Facility	TC	$25.12	$85.11	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $83.18	Professional		$33.88	$43.65	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $57.54	Professional	26	$12.02	$15.14	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $48.98	Professional	TC	$20.89	$28.18	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	26	$15.14	$15.14	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $30.20	Professional	TC	$28.18	$28.18	$30.20
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $134.90	Facility	TC	$100.00	$100.00	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $100.00	Professional		$43.65	$56.23	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.99 / $38.02	Professional	26	$14.79	$23.99	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $31.62 / $66.07	Professional	TC	$28.18	$31.62	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $77.62	Professional		$38.90	$51.29	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.50 / $31.62	Professional	26	$13.80	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $30.90 / $50.12	Professional	TC	$24.55	$30.90	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $85.11	Professional		$38.02	$48.98	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.05 / $31.62	Professional	26	$14.79	$19.05	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $53.70	Professional	TC	$22.39	$29.51	$53.70